Relationship between functional capacity, performance and symptoms in hospitalized patients with heart failure

Abstract

Objectives: to evaluate the prevalence of symptoms in heart failure patients and to investigate the relationship between symptoms, functional capacity and performance. Methods: cross-sectional study, developed at a hospital specializing in cardiology. The sample (n=170) consisted of patients with heart failure, assessed by means of a sociodemographic form, New York Heart Association Functional Class, Edmonton Symptom Rating Scale and Karnofsky Physical Performance Scale. Analyzes were performed using Spearman’s Correlation and Pearson’s Chi-Square test. Results: dyspnea, fatigue and edema were the main symptoms that led to the search for health services. During hospitalization, the main symptoms were anxiety, sleep disturbance and sadness. Weak negative correlations were observed between functionality, functional class, and symptom overload. Conclusions: the prevalence of symptoms was high and changed throughout the hospitalization period. Patients with poorer functional capacity and poorer performance had greater symptom overload.

Anxiety, Depression, and Coping Mechanism Among Outpatients With Heart Failure

“…Correlation analysis between anxiety and depression showed positive relationship. It was consistent with previous studies which revealed that the higher anxiety associated with the higher depression among patients with HF [5], [20], [24]. According to multivariate regression results in this study, anxiety was also become significant predictor of depression and vice versa.…”

“…According to multivariate regression results in this study, anxiety was also become significant predictor of depression and vice versa. Anxiety leads to moments of self-exploration and contributes to depressive symptoms [24]. This is supported by previous studies that explain the pathophysiological relationship between those mental disorders.…”

“…The higher NYHA functional class disposed to have higher anxiety and depression scores [5]. In addition, prior study supported these finding that the higher the functional class, the greater the symptom overload [24]. The more symptoms presence might impact the patients' social relationships and functionality negatively, as well as change their health perception [25].…”

Training History, Cardiac Autonomic Recovery from Submaximal Exercise and Associated Performance in Recreational Runners

“…Concerning exercise performance, day0 SSE is accompanied by largely reduced aerobic power output compared to baseline. These results corroborate the common opinion that sympathetic overactivation is associated with poor performance in connection with overreaching and overtraining [ 8 ] or in chronic heart failure patients [ 39 , 41 , 42 , 43 ]. The precise mechanism underlying decreased performance at higher sympathetic outflow is not completely clear [ 44 ]; nevertheless, it is obvious that adaptation to exercise upon sympathetic overactivation at its onset is compromised [ 12 ] and that interplay of simultaneous sympathetic overactivation and parasympathetic decline may have a role.…”

Espiritualidade como recurso terapêutico no ambulatório de cardiologia [Spirituality as a therapeutic resource in the cardiology outpatient clinic] [La espiritualidad como recurso terapéutico en el ambulatorio de cardiología]

“…Autora correspondente: Janaína Mengal Gomes Fabri. E-mail: janamgfabri@gmail.com Editora Científica: Cristiane Helena Gallasch; Editora Associada: Mercedes Neto O escasso número de publicações nacionais e internacionais acerca das intervenções da espiritualidade na cardiologia e o fato de as doenças cardiovasculares permanecerem, há 15 anos, no topo das maiores causas de óbitos no mundo ratificam a importância do desenvolvimento de pesquisas que promovam estratégias potencializadoras de adesão ao tratamento e, assim, atuem na promoção de hábitos saudáveis, na prevenção de agravos e na reabilitação [1][2][3][4][5][6][7][8][9] .…”